Jamiah Sullivan

NPI #1871278226 in Fairview Heights, Illinois

Provider Information

NPI Number: 1871278226
Entity Type: Individual
Name: Jamiah Sullivan
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 21, 2023
Last Updated: Jun 21, 2023

Practice Location

Address: 343 FOUNTAINS PKWY
Address 2: UNIT 201
City: Fairview Heights
State: Illinois
ZIP Code: 62208
Phone: (618) 515-1441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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